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Catheter Cardiovasc Interv. 2019 Mar 9. doi: 10.1002/ccd.28167. [Epub ahead of print]

The combined use of stent retriever and neuro-aspiration as successful bail-out reperfusion strategy in a patient with embolic myocardial infarction.

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Division of Cardiology, Fondazione IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Unit of Interventional Radiology, Radiology Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.


Embolic myocardial infarction account for ≈3% of all ST-segment myocardial infarction and represents a challenge often left no-reperfused because current thrombectomy technologies are inefficient to grab thrombus wedged into distal coronary arteries. We present the case of a 34-year-old man who presented with anterior STEMI and a proximal left anterior descending coronary artery ulcerated plaque with a great thrombus burden, which led to distal embolization. Failure of several attempts of manual and rheolytic thrombectomy, led us to use the "Solumbra technique", the combined use of stent retriever and Penumbra catheter was successful in restoring patency and flow.


acute myocardial infarction; stent design/structure/coatings; thrombectomy


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